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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection

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Central odontogenic fibroma.

Sanjay Venugopal¹, Satish Radhakrishna², Akshatha Raj¹

¹Department of Periodontology, Sree Siddhartha Dental College, Tumkur, Karnataka, India.

Journal of Indian Society of Periodontology

|May 30, 2014

Summary

Central odontogenic fibroma (COF) is a rare jaw tumor. This report details a successful surgical removal and bone grafting case, showing good healing and bone regeneration.

Keywords:

Central odontogenic fibroma neoplasms odontogenic tumors

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Area of Science:

Oral and Maxillofacial Surgery
Odontogenic Tumors
Neoplasm Research

Background:

Central odontogenic fibroma (COF) is an uncommon odontogenic tumor, comprising 0.1% of all such neoplasms.
COF presents as a slow-growing lesion, potentially causing cortical expansion and presenting radiologically as unilocular or multilocular with possible root displacement or resorption.
Histopathological features include mature collagen fibers and abundant fibroblasts.

Observation:

A 49-year-old male presented with an asymptomatic central odontogenic fibroma of the mandible, discovered incidentally.
Orthopantomogram revealed generalized bone loss, a unilocular radiolucent area with a sclerotic border, and angular bone loss.
The patient was unaware of the lesion's presence due to lack of symptoms like swelling or pain.

Findings:

Surgical enucleation of the COF was performed.
The surgical defect was reconstructed using a bioresorbable demineralized bone matrix (DMBM) osseo-graft and platelet-rich fibrin.
Post-operative evaluation demonstrated excellent wound healing and significant bone height regeneration at the defect site.

Implications:

This case highlights the successful management of a rare central odontogenic fibroma through surgical intervention and bone grafting.
The use of DMBM and platelet-rich fibrin shows promise for effective bone regeneration in the management of odontogenic tumor defects.
Further research into COF is warranted due to its rarity and variable clinical presentation.